Leslie Raymond Freedman, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001533 Issued in CT

Practice address

2009 Summer St
Suite 202
Stamford, CT 06905-5023

Phone

(203) 973-0800

Fax

(203) 978-0900

NPI assigned

Oct 9, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1245327220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 SUMMER ST",
            "address_2": "SUITE 202",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055023",
            "telephone_number": "203-973-0800",
            "fax_number": "203-978-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 SUMMER ST",
            "address_2": "SUITE 202",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055023",
            "telephone_number": "203-973-0800",
            "fax_number": "203-978-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "LESLIE",
        "middle_name": "RAYMOND",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001533",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Francois, M.D.
• Frank a. Sessa, D.D.S., P.C.
• Christopher George Frechette, MSW, LCSW
• Fredric I. Smilen O.D., P.C.
• Kayla Freedman
• Jay Freilich, M.D.
• Marilee L Freitas, M.D.
• Nicole Frey, DPT
• Susan F Freydberg, DSW
• Kristoffer Jacob Friend, M.S., ATC/L

• Psychologist in Stamford, CT
• Providers in Stamford, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.